Reads as: riskier than 52.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
VA median
National median
National p25–p75
Total nurse
2.92
3.13
3.28
2.90–3.77
RN
0.19
0.30
0.39
0.25–0.58
Weekend total
2.72
2.96
3.11
—
Weekday total
2.99
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.6
2.92
0.19
0.94
1.79
2.72
0.0%
2025Q3
92
128.2
3.00
0.19
0.92
1.89
2.75
0.0%
2025Q2
91
123.7
3.24
0.18
1.03
2.03
2.90
0.0%
2025Q1
90
126.6
3.22
0.20
1.12
1.90
2.87
0.0%
2024Q4
92
126.3
3.21
0.15
1.18
1.88
2.81
0.0%
2024Q3
92
129.1
3.02
0.17
1.09
1.76
2.62
0.0%
2024Q2
91
127.3
3.03
0.17
1.04
1.81
2.61
0.0%
2024Q1
91
120.8
3.05
0.18
1.09
1.78
2.53
0.0%
2023Q4
92
116.7
3.09
0.22
1.08
1.80
2.50
0.0%
2023Q3
92
130.5
2.74
0.16
1.03
1.55
2.10
0.0%
2023Q2
91
131.6
2.68
0.13
1.01
1.54
2.22
0.0%
2023Q1
90
132.7
2.76
0.12
1.03
1.61
2.39
0.0%
2022Q4
92
130.5
2.72
0.14
0.94
1.64
2.33
0.0%
2022Q3
92
126.9
2.37
0.10
0.86
1.41
2.21
0.0%
2022Q2
91
130.7
2.33
0.14
0.87
1.32
2.10
0.0%
2022Q1
90
127.6
2.40
0.12
0.90
1.39
2.09
0.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
22
D × 14E × 6G × 1K × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-03-16
2024-08-29
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-10-15
2024-08-29
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-10-15
2024-08-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-15
2024-08-29
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-10-15
2024-08-29
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-10-15
2024-08-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-15
2024-08-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-15
2023-01-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-03-13
2023-01-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-13
2020-02-10
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2020-07-22
2020-02-10
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2020-07-22
2020-02-10
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2020-07-22
2020-02-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-07-22
2020-02-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2020-07-22
2020-02-10
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2020-07-22
2020-02-10
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
K
2020-07-22
2020-02-10
Health
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
D
2020-07-22
2020-02-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2020-07-22
2020-02-10
Health
F0760
Ensure that residents are free from significant medication errors.
D
2020-07-22
2020-02-10
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2020-07-22
2020-02-10
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2020-07-22
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
14
Owner
Role
Pct
From
Status
Source
AMERICAN HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-11-22
current
pecos_ownership
DALTON, BRAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
current
pecos_ownership
DAVIS, BENJAMIN
ADP OF THE SNF
—
2026-03-25
current
pecos_ownership
EAST, THOMAS
CORPORATE DIRECTOR
—
2012-11-20
current
pecos_ownership
GALLANT, CASSANDRA
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
GALLANT, CASSANDRA
CORPORATE OFFICER
—
2024-07-11
current
pecos_ownership
HAMILTON, ALYSSA
ADP OF THE SNF
—
2026-03-25
current
pecos_ownership
HAMILTON, ALYSSA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-04
current
pecos_ownership
HOPKINS, WILLIAM
CORPORATE DIRECTOR
—
2010-07-23
current
pecos_ownership
BRAD DALTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
ended 2026-05-18
pecos_ownership
CASSANDRA GALLANT
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
CASSANDRA GALLANT
CORPORATE OFFICER
—
2024-07-11
ended 2026-05-18
pecos_ownership
THOMAS EAST
CORPORATE OFFICER
—
2012-11-20
ended 2026-05-18
pecos_ownership
WILLIAM HOPKINS
CORPORATE DIRECTOR
—
2010-07-23
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,265,107
—
—
—
$82,833
1
—
2023-12-31
$1,070,491
—
—
—
$55,554
1
—
2022-12-31
$947,418
—
—
—
$20,415
1
—
2021-12-31
$878,544
—
—
—
$17,371
1
—
2020-12-31
$865,498
—
—
—
$19,743
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 51121
acs median gross
0
$1,185
2024-12-31
CENSUS_ACS5
county 51121
fmr
0
$910
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
1
$1,017
2024-12-31
CENSUS_ACS5
county 51121
fmr
1
$993
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
2
$1,208
2024-12-31
CENSUS_ACS5
county 51121
fmr
2
$1,271
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
3
$1,452
2024-12-31
CENSUS_ACS5
county 51121
fmr
3
$1,706
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
4
$1,761
2024-12-31
CENSUS_ACS5
county 51121
fmr
4
$2,132
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
5
$2,165
2024-12-31
CENSUS_ACS5
county 51121
acs median gross
$1,240
2024-12-31
CENSUS_ACS5
county 51121
acs recent mover gross
$1,406
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
0
$1,195
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
1
$1,065
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
2
$1,309
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
3
$1,634
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
4
$1,750
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
5
$2,156
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
$1,314
2024-12-31
CENSUS_ACS5
zcta 24060
acs recent mover gross
$1,474
2024-12-31
CENSUS_ACS5
zip 24060
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
1
$1,199
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
1
$981
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
1
$1,090
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
2
$1,529
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
2
$1,251
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
2
$1,390
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
3
$2,057
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
3
$1,683
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
4
$2,563
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
4
$2,097
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
4
$2,330
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.